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� <br /> ELECTRICAL P'�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3�0 l S����-� Sv.,�� e ��y <br /> PROJECT ADDRESS <br /> I '�`F-U l� �l�"�XJ. <br /> O er ldailAddress City Slate2.iP2 Z� Phone <br /> '-� � S-63h2 <br /> 10�„��� �c�c�nc� 32015�1����� \�y �zl�� V.9 A �t`6 ZU 1 <br /> TenOnt MailAddross Gty State/Zip Phone <br /> �v�v���i a���Q �r�Qd-��� �4 3ux ���3 I,.�v.�,w��-�J, Wr� �`603� V25 �qo 1�3 <br /> Elecidcal Contractor Mail Address City Staie2+p Phone <br /> ZNNc�Ve.�oSSKE � \�ODD"o <br /> State Llcense Number CoNract Pri of Work <br /> l J'N�L� <br /> Proposed f 8u!Iding Contact Person (Plan Review) <br /> Description ol Work to Be Done ��\U C�� �,X\5`�v\ C-`� C,V�--v ���1/�/� <br /> � <br /> �o v:� �c��.es �o W A�� eu.��v. �.uc�a-�o�� s <br /> NOTE: VJIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC ORl1C CABLE. <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> I hereGy cerlily fhal I have�ead and oa�amrned Ihis application and know(he same fo be Irue and <br /> � conect All p�avisroru ollaws and ordmances gove�mng Ihis type o(work will bo completed <br /> �i whelher speci6ed herein or nol. The granting o/a pemuf does nof reamie!o give aufbonty fo <br /> vlolate or cancel�ho Ivovisions olany ofher s(ale or local law reguPhng consfn�clion or Ihe <br /> pedormanca ol constiuction. i hal I arn aufhonzed by fhe owner ollhis properfy fo pedonn fhe <br /> work�or which�pplicafion is mado and 1 comply�vdh fhe Slafe Conlractors Law 18.27 RCW and �� <br /> 29F200 WAC. <br /> �.0 <br /> ��'�' � � �� <br /> SignaWre DaI <br /> 11.�1� <br />